HL7 Terminology (THO)
6.0.0 - Publication International flag

This page is part of the HL7 Terminology (v6.0.0: Release) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

ValueSet: IndividualInsuredCoveredPartyRoleType

Official URL: http://terminology.hl7.org/ValueSet/v3-IndividualInsuredCoveredPartyRoleType Version: 3.0.0
Active as of 2014-03-26 Responsible: Health Level Seven International Computable Name: IndividualInsuredCoveredPartyRoleType
Other Identifiers: OID:2.16.840.1.113883.1.11.19813

Copyright/Legal: This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html

DescriptionA role recognized through the eligibility of a party to play an individual insured for benefits covered or provided under an insurance policy where the party is also the policy holder.

References

Logical Definition (CLD)

Generated Narrative: ValueSet v3-IndividualInsuredCoveredPartyRoleType

Language: en

This value set includes codes based on the following rules:

 

Expansion

Generated Narrative: ValueSet

Language: en

This value set contains 6 concepts

CodeSystemDisplayDefinition
  _IndividualInsuredPartyRoleTypehttp://terminology.hl7.org/CodeSystem/v3-RoleCodeIndividualInsuredPartyRoleType

A role recognized through the eligibility of a party to play an individual insured for benefits covered or provided under an insurance policy where the party is also the policy holder.

  COCBENhttp://terminology.hl7.org/CodeSystem/v3-RoleCodecontinuity of coverage beneficiary

Description: A person playing the role of an individual insured with continuity of coverage under a policy which is being terminated based on loss of original status that was the basis for coverage. Criteria for qualifying for continuity of coverage may be set by law.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a continuity of coverage beneficiary meets jurisdictional or policy criteria.

  RETIREEhttp://terminology.hl7.org/CodeSystem/v3-RoleCoderetiree

Description: A person playing the role of an individual insured under a policy based on meeting criteria for the employment status of retired set by law or the policy.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a retiree meets jurisdictional or policy criteria.

  STUDhttp://terminology.hl7.org/CodeSystem/v3-RoleCodestudent

Covered party to an insurance policy has coverage through full-time or part-time attendance at a recognized educational institution as defined by a particular insurance policy.

  FSTUDhttp://terminology.hl7.org/CodeSystem/v3-RoleCodefull-time student

Covered party to an insurance policy has coverage through full-time attendance at a recognized educational institution as defined by a particular insurance policy.

  PSTUDhttp://terminology.hl7.org/CodeSystem/v3-RoleCodepart-time student

Covered party to an insurance policy has coverage through part-time attendance at a recognized educational institution as defined by a particular insurance policy.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code

History

DateActionAuthorCustodianComment
2023-11-14reviseMarc DuteauTSMGAdd standard copyright and contact to internal content; up-476
2022-10-18reviseMarc DuteauTSMGFixing missing metadata; up-349
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.
2014-03-26reviseVocabulary (Woody Beeler) (no record of original request)2014T1_2014-03-26_001283 (RIM release ID)Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26